LORI TEWKSBURY BURGOYNE

PRESCOTT, AZ
NPI1376842245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835G0303X Pharmacist, Geriatric
(Licence: AZ  S007469)
Additional Taxonomies183500000X Pharmacist
(Licence: AZ  S007469)
Enumeration Date2011-03-18
Last Update Date2011-03-18
Business Address
Ms. LORI TEWKSBURY BURGOYNE RPh, CGP
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-445-4860
Mailing Address
Ms. LORI TEWKSBURY BURGOYNE RPh, CGP
PO BOX 9041
PRESCOTT, AZ 86313-9041
Phone number: 928-445-4860